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1184615833
GRACE A BANUCHI
GRETNA, LA
NPI
1184615833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 05544R)
Enumeration Date
2005-11-02
Last Update Date
2010-05-20
Business Address
-- GRACE A BANUCHI MD
151 MEADOWCREST ST SUITE F
GRETNA, LA 70056
Phone number: 504-392-9298
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Mailing Address
-- GRACE A BANUCHI MD
151 MEADOWCREST ST SUITE F
GRETNA, LA 70056
Phone number: 504-392-9298
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